| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.94 | $77.94 | $77.94 | |
Aetna
| Professional | $24.16 | $46.23 | $78.18 | |
BCBS
| Facility | $25.46 | $95.08 | $166.60 | |
BCBS
| Professional | $18.62 | $32.47 | $50.19 | |
Cigna
| Professional | $50.29 | $50.29 | $64.01 | |
Medica
| Facility | $26.70 | $48.08 | $91.91 | |
Medica
| Professional | $57.09 | $76.79 | $488.59 | |
United
| Professional | $55.36 | $65.75 | $122.44 |